Organization
JEANES RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CARR (PRESIDENT)
(215) 663-5910
Entity
Organization
Contact information
Practice address
1619 GRANT AVE, PHILADELPHIA, PA 19115-3167
(215) 934-6100
(215) 934-6713
Mailing address
PO BOX 827275, PHILADELPHIA, PA 19182-7275
(215) 663-5910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/22/2005
Last updated
08/22/2020
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